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Cannata et al. Mini-invasive Surg 2020;4:53 I http://dx.doi.org/10.20517/2574-1225.2020.41 Page 9 of 17

Follow-up 3-month NYHA II MR grade = 1-2+ LVEF = 20% LVESD = 54 mm LVEDD = 63 mm sPAP = 34 mmHg BNP = 681 ng/L 30-day MR grade = 1+ 3-month NYHA II MR grade = 1-2+ LVEF = 38% LVEDD = 62 mm LVESD = 50 mm 6-month NYHA II - NYHA I

Discharge Alive (postop day 7) LVEF = 15% LVESD = 59 mm LVEDD = 68 mm sPAP = 32 mmHg BNP = 1,210 ng/L Alive (postop day 9) MR grade = 1-2+ LVEF = 30% LVEDD = 51 mm LVESD = 46 mm RV function = normal Alive (postop day 16) Alive NYHA I

Early outcomes Device success Minor hemorrhagic stroke 2 days after MitraClip Device success Device success MR grade (4th day) = 1+

Procedure and acute result 1 clip (A2-P2) MR grade = 1-2+ PCWP = 29 mmHg PAP = 66/37 mmHg CO = 4.3 L/min 7 days after admission 1 clip (A1-P1) MR grade = 0 2 clips (A2-P2) MR grade = 2+ v-wave = 30 mmHg 3 clips MR grade = 0 Mean LAP = 22 mmHg Mean PAP = 26 mmHg Stroke volume index = 38 mL/m 2 CI = 3.2 L/min/m 2 2 clips (A2-P2; lateral to the first one) MR grade = 1+ MV MG < 5 mmHg

Hemodynamic setting Cardiogenic shock and MOF IABP and inotropes LAP = 36 mmHg PAP = 75/44 mmHg CO = 3.0 L/min Pulmonary edema and cardiogenic shock sPAP = 65 mmHg Cardiogenic shock and ventricular arrhythmias IABP and intropes Mean LAP = 37 mmHg v-waves = 55 mmHg Cardiogenic shock and pulmonary edema IABP and inotropes Mean LAP = 21 mmHg Mean PAP = 24 mmHg Stroke volume index CO = 6.8 L/min = 21 mL/m 2 CO = 4.

Patients 51-year-old male LVEF = 15% LVESD = 58 mm LVEDD = 67 mm BNP = 2786 ng/L 60-year-old female IABP LVEF = 45% 68-year-old male LVEF = 25% Mild to moderate right ventricular dysfunction STS score = 64% EuroSCORE II = 75% 77-year-old male Log Euroscore = 78% 76-year-old male STS score = 6.7% Log Euroscore = 29.1%

Cause and mechanism of acute MR Acute cardiogenic shock and MOF in ischemic cardiomyopathy (2 previous anterior wall myocardial infarctions) Posterolateral STEMI, successful primary PCI of proximal circumflex artery with loss of marginal branch Complete rupture of the anterolateral papillary muscle with A1-P1 flail and lateral jet Latecomer lateral STEMI, with occlusion of large first obtuse marginal artery Complete ru
Table 2. Case reports and registries of MitraClip in patients with acute MR

Ref. Bilge et al. [30] Wolff et al. [31] Bahlmann et al. [32] Rodríguez-Santamarta et al. [33]

Percutaneous mitral valve Zuern et al. [29] repair using the MitraClip Papillary Muscle Rupture as Complication of Acute Muscle Rupture in Patient Papillary Muscle Rupture Mitral Regurgitation After

Case reports in acute cardiogenic Successful Percutaneous Mitral Valve Repair with the MitraClip System of Acute Mitral Regurgitation due to Myocardial Infarction MitraClip for Papillary With Cardiogenic Shock MitraClip Implantation After Acute Ischemic in a Patient With Prolonged Cardiogenic Shock Percutaneous Mitral Valve Repair With Mitraclip System in a Patient With Acute Myocardial Infarction

Title shock